| Titre : | Diagnosis of Carpal Tunnel Syndrome in Patients Without Diabetes With Hemodialysis Using Ultrasonography: Is It a Useful Adjunctive Tool? (2022) |
| Auteurs : | I-Te Tu ; I-Ming Jou ; Po-Yen Ko ; Jung-Shun Lee ; Li-Chieh Kuo ; Chung-Yi Li ; Po-Ting Wu |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 8, 2022) |
| Article en page(s) : | p. 1551-1557 |
| Note générale : | https://doi.org/10.1016/j.apmr.2021.11.007 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Diagnostic ; Dialyse rénale ; Échographie ; Réadaptation ; Syndrome du canal carpien |
| Résumé : |
Objective
(1) To examine the ultrasonography (US) characteristics in patients with hemodialysis-related carpal tunnel syndrome (H-CTS) and (2) to evaluate the accuracy of a proposed US parameter-dynamic ratio of median nerve-to-hamate hook distance (RMHD) in diagnosis of H-CTS. Design A case-control study. Setting A tertiary medical center and a secondary hospital from November 2017 to March 2021. Participants Consecutive patients (N=207) without diabetes under hemodialysis were recruited and divided into a hemodialysis without carpel tunnel syndrome (CTS) (H-Control) group and an H-CTS group. Age-matched volunteers (N=89) without diabetes or upper extremity disorders were enrolled as the control group. Intervention US examinations by 2 operators blinded to the patient's clinical information. Main Outcome Measures US parameters including cross-sectional area of the median nerve at the carpal tunnel inlet (CSA-I) and outlet (CSA-O), the flattening ratio of the median nerve at the inlet (FR-I) and outlet (FR-O), and RMHD. Results Handedness and arteriovenous fistula showed no associations with CSA-I/O and FR-I/O. Compared with the control group (n=69), the CSA-I was significantly larger in the H-Control group (n=63) and H-CTS group (n=76) (P<.001 both there were no significant differences in the fr-i among groups. for second aim h-cts group was a significantly lower rmhd compared with control and h-control groups vs p an cutoff value of yielded specificity sensitivity overall accuracy diagnosis h-cts.> Conclusions Neither CSA-I/-O or FR-I/-O have a role in the diagnosis of H-CTS. RMHD might be a useful US parameter in the diagnosis of CTS in patients without diabetes undergoing hemodialysis. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321017184#! |
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